Provider Demographics
NPI:1669958450
Name:BYE, LAUREN CHIEMI
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:CHIEMI
Last Name:BYE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:CHIEMI
Other - Last Name:CHINEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22626 NE INGLEWOOD HILL RD APT 538
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98074-5008
Mailing Address - Country:US
Mailing Address - Phone:808-497-2655
Mailing Address - Fax:
Practice Address - Street 1:630 228TH AVE NE
Practice Address - Street 2:
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98074-7241
Practice Address - Country:US
Practice Address - Phone:425-868-6181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-14
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64046183500000X
WAPH60862524183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist